Diagnosis and Treatment of Diabetes in Israel

Professor Naftali Stern

Endocrinologist

Treatment of diabetes mellitus is a significant responsibility, with the goal of the treatment course being the metabolic correction of carbohydrate metabolism disorders. For this purpose, an insulin administration schedule is developed.

Accurate adherence to the specialists' prescriptions is intended to prevent the development of hyper- or hypoglycemic coma and to avoid complications. Diabetes treatment in Israel involves the use of a range of methods aimed at improving the patient's quality of life.

5000

foreign patients receive treatment annually at the Top Ichilov clinic

38%

of patients at the Top Ichilov clinic avoided surgery thanks to accurate diagnostics

24

- hour support in Russian

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At the Top Ichilov Medical Center, the best team of specialists works with children suffering from diabetes: pediatric endocrinologist, pediatric dietitian, psychologist, pediatric ophthalmologist, pediatric nephrologist, etc.

Diabetes Treatment in Israel: Main Diagnostics and Therapy Program at Top Ichilov

• consultation with a pediatric endocrinologist;
• visual acuity measurement, fundus examination by a pediatric ophthalmologist;
• Doppler ultrasound of kidney vessels;
• Doppler examination and ultrasound of abdominal organs;
• consultation with a pediatric nephrologist;
• dietitian consultation;
• development of an insulin administration schedule, determination of the rehabilitation program;
• rehabilitation treatment course in a day hospital under the supervision of specialists.

The duration of the program depends on the severity of the condition, the ability to strictly follow the instructions and prescriptions of specialists.

Type 1 and Type 2 Diabetes Mellitus

Currently, treatment for type 1 diabetes involves two types of assistance: the first is insulin replacement therapy (the most common), and the second is surgical intervention for pancreas transplantation along with the kidney (used in severe forms of diabetes complicated by renal failure).

Diabetes - Insulin Therapy

Patients who regularly take insulin must lead a specific lifestyle: constant monitoring of insulin levels in blood or urine, diet, hourly meals, physical therapy or a developed occupational therapy program, and regular visits to an endocrinologist.

If previously insulin was administered only through injections that patients performed themselves, with the advancement of medicine, this method has become somewhat outdated. Firstly, patients had to always calculate their own time to be home for insulin administration, and they needed to have an injection kit with them. Secondly, they had to strictly adhere to the schedule and dosages of insulin, which could not always align with food intake, etc. Understanding these issues, endocrinology specialists have developed entirely new methods of insulin administration.

Automatic syringe. This syringe is implanted under the skin of the insulin-dependent patient and injects programmed doses of insulin at strictly scheduled times. The patient no longer has to remember the times and doses; the syringe will handle everything. However, diet, exercise, and everything else must remain strictly planned.

Multifunctional automatic syringe. The operation of this device is similar to that of the automatic syringe, but before administering insulin, the device checks the glucose level in the blood, and if it is insufficient, the administration can be postponed for two hours. With this device, the patient does not have to worry that not eating on time and receiving a dose of insulin could lead to hypoglycemic coma.

Diagnostic Procedures